It Gets Better: Resolution of Internalized Homophobia Over Time and Associations with Positive Health Outcomes Among MSM

Herrick, Amy L.; Stall, Ron; Chmiel, Joan S.; Guadamuz, Thomas E.; Penniman, Typhanye V.; Shoptaw, Steven; Ostrow, David G.; Plankey, Michael

doi:10.1007/s10461-012-0392-x

Cited by 131 publications

(100 citation statements)

References 51 publications

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“…of psychosocial health problems 0 (n = 1,392) 1 (n = 812) 2 (n = 341) 3 or 4 (n = 129) [8] found that a greater proportion of gay men reported cessation of tobacco use than reported current daily tobacco use (26.9 vs. 25.7 %), indicating a widespread trend towards health promotion and recovery from an addiction that is very difficult to resolve. Gay and bisexual men have been shown to overcome internalized homophobia over the life-course despite existing in a context that promotes this form of selfloathing [9]. Most gay and bisexual men have also managed to avoid problematic drug use despite widespread use of recreational drugs generally perceived to be addictive [10,11].…”

Section: Evidence For Resilience Among Gay and Bisexual Menmentioning

confidence: 99%

Resilience as a Research Framework and as a Cornerstone of Prevention Research for Gay and Bisexual Men: Theory and Evidence

et al. 2013

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This commentary presents the content and results of a recent symposium held to discuss how resiliencies among gay and bisexual men, and other men who have sex with men, could inform HIV prevention interventions. We outline the argument for including resiliencies in prevention work and present a critique of the deficitbased approached to public health research as it applies to this line of inquiry. The commentary makes the case that HIV prevention work would be more efficacious if it were designed to incorporate naturally occurring resiliencies that manifest among gay male communities rather than primarily using interventions that address vulnerabilities among men who continue to reside in high risk contexts. The commentary concludes by listing a set of resiliency variables and constructs proposed at the meeting that could be tested in theoretically-based investigations to raise resiliencies among gay and bisexual men thereby lowering HIV risks in this population.Keywords Resilience Á MSM health Á Gay and bisexual men Á TheoryIn the summer of 2011, The Fenway Institute of Boston and the University of Pittsburgh Center for Lesbian, Gay, Bisexual and Transgender (LGBT) Health Research convened a meeting of many of the thought leaders in the field of Gay and Bisexual men's health to discuss how resilience among gay and bisexual men, and other men who have sex with men (henceforth referred to simply as gay and bisexual men), could inform HIV prevention interventions. The idea behind the meeting was to outline ways in which resiliencies could be used to move the field forward towards the abatement or elimination of health disparities within this population. The primary goals of this meeting were to raise interest in the study of resilience as a way to improve health outcomes among gay and bisexual men, to learn from community-based programs that were already using resilience-based approaches in their work, and to begin conceptualizing how researchers could adapt and use a resilience-based framework in their study of HIV and other health disparities in gay and bisexual men. We also critically reviewed deficit-based approach to health, focusing on assumptions underlying these methods.Relative to the field of prevention research, communitybased organizations for gay and bisexual men have better recognized that focusing on strengths, resilience, and other protective factors can bring about positive individual and community-level results. However, few community programs have had the resources to test or evaluate their work. To begin to bridge this divide, the meeting organizers brought together leaders in research as well as key informants from resilience-based community programs including Manifest Love, the Harlem United Community AIDS Center (www.harlemunited.org), Easton Mountain (www. eastonmountain.com), Life Lube (www.lifelube.org), and others who have already been using strength-based approaches to promote health among gay and bisexual men. After a day of sharing methods, challenges, questions and results f...

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Section: Evidence For Resilience Among Gay and Bisexual Menmentioning

confidence: 99%

Resilience as a Research Framework and as a Cornerstone of Prevention Research for Gay and Bisexual Men: Theory and Evidence

et al. 2013

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“…In South Africa, Graziano et al used a strength-based approach as a way of broadening the scope of HIV prevention by qualitatively applying a participatory-action research framework to identify both the adversities confronting MSM and the resilience-based protective factors they employ for coping with oppression [22]. In concurrence with the resiliency variables and constructs listed by Herrick et al Graziano identified socio-support, optimism, a supportive socionetwork, empathy, a gay-affirmative religion, self-acceptance of being gay, and spirituality associated with religiosity as strengths and protective factors adopted by MSM in South Africa for coping with different forms of adversity related to their being homosexual [17]. On the other hand, Ross and Anderson et al found religiosity to be associated with depression in Tanzanian MSM.…”

Section: Cultural Resilience Among Msm In Ssamentioning

confidence: 74%

“…Hence, in spite of the prevalence and impact of syndemic conditions on the health of MSM, synthesis of the evidence has shown that some MSM are resilient, especially in stopping tobacco use, overcoming internalized homonegativity (IH) and avoiding drug use [14,17,31,53]. This suggests that not all MSM who reside in a hostile environment and are exposed to multiple psychosocial health problems and their syndemic effects develop negative health outcomes.…”

Section: Resilience: a Corollary Of Syndemic Theorymentioning

confidence: 99%

Resilience Factors as a Buffer against the Effects of Syndemic Conditions on HIV Risk and Infection among Tanzanian MSM

Adeboye¹,

Ross²,

Wilkerson³

et al. 2017

J Health Edu Res Dev

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Background: In the extremely homophobic conditions in Tanzania and other countries in sub-Saharan Africa (SSA), men who have sex with men (MSM) experience disproportionate amounts of both HIV infection and psychosocial health problems, but no research has been conducted to examine the synergistic or additive effects of these adversities on their experiences. While the predominantly deficit-based research approach has identified various HIV risks and vulnerabilities, any naturally occurring protective and resilience factors that these men naturally employ to these health-related adversities remain undetermined.

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“…The landmark Federal Supreme Court case, United States vs. Windsor (2013), which overturned the 1996 federal Defense of Marriage Act and allowed State Supreme Courts to decided marriage qualifications in their own states, the rescinding of the discriminatory military policy of "don't ask, don't tell," and possible passage of the Federal Employment Non-Discrimination Act are all promising signs of progress. [7,8] Gay marriage is on the legislative agenda in many states and is currently legal in 19 States and the District of Columbia, with state Supreme Courts considering anti-gay marriage laws unconstitutional on an almost monthly basis. However, discrimination and social stigma continue to exist for gay men, especially those who are young and/or from racial/ethnic minority populations.…”

Section: Estimating Mssipvmentioning

confidence: 99%

A review of the syndemic components of male same-sex intimate partner violence

Pimentel

2014

JNEP

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Intimate partner violence is an underreported, stigmatized, and deleterious reality affecting a greater proportion of gay and bisexual men than their heterosexual counterparts. Syndemic theory suggests that many health conditions do not occur in a vacuum, but rather act synergistically, with factors reinforcing each other. Syndemic factors for those who experience male same-sex intimate partner violence (MSSIPV) include depression, sexual compulsivity, substance abuse, childhood sexual abuse (CSA), and HIV infection. This manuscript contains a review of the literature on syndemic factors of MSSIPV that increase negative health outcomes. Acknowledging and understanding the interrelation of these problems is a critical step in developing interventions to address this syndemic in the population of gay men.

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It Gets Better: Resolution of Internalized Homophobia Over Time and Associations with Positive Health Outcomes Among MSM

Cited by 131 publications

References 51 publications

Resilience as a Research Framework and as a Cornerstone of Prevention Research for Gay and Bisexual Men: Theory and Evidence

Resilience as a Research Framework and as a Cornerstone of Prevention Research for Gay and Bisexual Men: Theory and Evidence

Resilience Factors as a Buffer against the Effects of Syndemic Conditions on HIV Risk and Infection among Tanzanian MSM

A review of the syndemic components of male same-sex intimate partner violence

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